MEDICARE: BRANDEE KEISS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT005605	GA

General Provider Information

NPI Number	:	1750225264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDEE KEISS

Provider Business Mailing Address
First Line	:	1950 SPECTRUM CIR SE STE 125
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-8470
Country	:	US
Telephone Number	:	770-541-7401
Fax Number	:	770-541-7403

Provider Business Practice Location Address
First Line	:	1950 SPECTRUM CIR SE STE 125
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30067-8470
Country	:	US
Telephone Number	:	770-541-7401
Fax Number	:	770-541-7403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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Directions to “ BRANDEE KEISS ” Practice Location

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